Provider Demographics
NPI:1508175084
Name:SOUTHWINDS, INC
Entity Type:Organization
Organization Name:SOUTHWINDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KUBALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-446-1080
Mailing Address - Street 1:2101 GREENTREE RD
Mailing Address - Street 2:SUITE A201
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1400
Mailing Address - Country:US
Mailing Address - Phone:412-446-1080
Mailing Address - Fax:412-446-1088
Practice Address - Street 1:2101 GREENTREE RD
Practice Address - Street 2:SUITE A201
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1400
Practice Address - Country:US
Practice Address - Phone:412-446-1080
Practice Address - Fax:412-446-1088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty